any process of improvement in health care must first make the move from a photograph, the more you can trust the situation.
and 'therefore need to continuously monitor the situation through an observatory that can acquire data and then manage them in modpiù useful.
often want to make the changes that have already been implemented by other health care companies and can therefore interact with them, not just to see how others have done but also to understand what the consequences (positive or negative) these changes have had.
currently the key components of health Molise can be summarized in the paragraphs below:
no adequate protocol for standardizing the criteria for hospitalization and more general treatment of the patient.
considerable appeal to the hospitalization of patients
dispersion of energy (the presence of duplicate departments in hospitals neighbors) with consequent apparent legitimate need for adequate instrumental equipment and therefore considerable waste of economic resources
own in a region as small as the Molise not need to have similar departments at a distance of twenty kilometers. that is surely better that they face the patient twenty kilometers to go to a single division of excellence that is able to give a quality response to their needs.
Hence the idea of \u200b\u200bcenters of excellence hospital
Everyone now knows how more than two-thirds of the budget is earmarked for the Regional Health.
precisely at a time when, as never before, in adopting the choices we must remember that the resources are finite and not unlimited,
you can not afford to take to make wrong choices and suffer the consequences of those choices to future generations!
for example, if from an epidemiological-ISTAT showed that the elderly are more concentrated in the high Molise, then why do not you like to open a geriatric center in the territory and build a network of services that give a response to welfare needs are not strictly health of the elderly patient?
now often the analysis of SDO (hospital discharge)-DRG, we see that the elderly patient hospitalized again a few days after his discharge, often at home because those who did not administer the therapy.
medicine in the area is still inadequate to give valid answers to the question of health of the patient, therefore, considers as the only viable solution that of the house.
E 'indispensable
• adopt appropriate tools (epidemiological observatory) to know instantly and in an analytical way the health of the region in order to convey the most important resources to the care of the most common diseases (cancer registry Istat).
• develop shared diagnostic and therapeutic protocols that enable to standardize the diagnostic and therapeutic patient
• strengthen the existing hospital facilities in order to transform them into centers of excellence that respond adequately to the needs of specialized care to avoid unnecessary duplication and dispersion of economic resources.
• develop the medicine of the territory integrated with hospital facilities.
• answer the question first level of care to prevent the use of unnecessary hospital admissions and repeated (one of the scourges of our reality Molise!).
• reduce the "medical migration" of patients in facilities outside the region, adapting our region in a structural way to meet the needs of patients.
• Work in an ever more closely with the universities', also encouraging scientific research.
• develop protocols for screening the population, in reference to early diagnosis of cancer with high mortality rate.
• encourage the development of health education programs from early childhood to college to teach in a safe environment (!) Lifestyles that have a positive feedback after many years (primary prevention). •
involve health professionals in the choices that are being implemented in health care, are aware that the same, assuming that they must necessarily know the reality of healthcare in which they operate and therefore have the right and duty to contribute to its continuous improvement.
Campobasso 30.04.2009
Dr. Eduardo Tonti
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